Individual
MRS. GILLIAN CORRYN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3270 LIBERTY RD S, SALEM, OR 97302-4560
(503) 749-9743
Mailing address
257 INTEGRA AVE SE, SALEM, OR 97306-2172
(503) 871-5542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64856
OR
Other
Enumeration date
02/21/2023
Last updated
09/12/2023
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